SANDEEP K GUPTA MD
NPI 1154436616
Pediatrics - Pediatric Gastroenterology in Birmingham, AL

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
1600 7TH AVE S, BIRMINGHAM, AL 35233(205) 638-9918 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 16, 2023, Dec 17, 2021, Aug 5, 2020 (3 updates tracked since 2020).

About Sandeep K Gupta Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDEEP K GUPTA MD (NPI 1154436616) is an individual pediatric gastroenterology provider in Birmingham, Alabama, licensed in Alabama (MD.45832) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Indianapolis, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1154436616
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameSANDEEP K GUPTACredential: MD
Location Address1600 7TH AVE SBirmingham, AL 35233-1711
Mailing Address1600 7th Ave SBirmingham, AL 35233-1711 · (205) 638-9918
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateAugust 21, 2006
Last NPPES UpdateFebruary 16, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2023
NPI 1154436616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses Licensed in AL · MD.45832 Licensed in IN · 01041280A
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
1600 7TH AVE S, Birmingham, AL 35233

Secondary Practice Location 1

Location 1705 Riley Hospital Dr, ROC 4210Indianapolis, IN 46202-5109 · Phone (317) 944-3774 · Fax (317) 944-8521

Other Identifiers 5

Other350593390-042Tricare-deacon-350593390
Medicaid64879869KY
Medicaid0074657OH
Other000000321535Anthem-deac-350593390
Medicaid200107770IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sandeep K Gupta Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890779631
PECOS Enrollment IDI20230228001724
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
1600 7TH AVE S
BIRMINGHAM, AL 35233
Pediatrics (Pediatric Critical Care Medicine)
1600 7TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner
1600 7TH AVE S
BIRMINGHAM, AL 35233
Hospitalist
1600 7TH AVE S
BIRMINGHAM, AL 35233
Rehabilitation Unit
1600 7TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner (Pediatrics)
1600 7TH AVE S, LOWDER BLDG., SUITE 618
BIRMINGHAM, AL 35233
Pediatrics
1600 7TH AVE S, MCWANE BUILDING SUITE 108
BIRMINGHAM, AL 35233
Nurse Practitioner (Pediatrics)
1600 7TH AVE S, CHILDRENS OF ALABAMA
BIRMINGHAM, AL 35233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandeep Gupta's NPI number?

The NPI number for Sandeep Gupta is 1154436616. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Sandeep Gupta located?

Sandeep Gupta practices at 1600 7th Ave S, Birmingham, AL 35233. The listed phone number is (205) 638-9918.

What is Sandeep Gupta's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Sandeep Gupta enrolled in Medicare?

Yes. Sandeep Gupta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sandeep Gupta accept?

Health plans from Blue Cross and Blue Shield of Alabama and CareSource list Sandeep Gupta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sandeep Gupta was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.